Cleaning Guidelines for Headquarters Facilities Corona Virus Disease (COVID-19) - Southcom

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Cleaning Guidelines for Headquarters
              Facilities Corona Virus Disease (COVID-19)
              09 April 2020

References:
   a) CDC Environmental Cleaning and Disinfection Recommendations, ‘Interim
      Recommendations for US Community Facilities with Suspected/Confirmed
      Coronavirus Disease 2019’: https://www.cdc.gov/coronavirus/2019-
      ncov/community/organizations/cleaning-disinfection.html
   b) NAVMED Interim Guidance for Cleaning and Disinfecting of Public Facilities for
      COVID-19 of MAR 2020
   c) OSHA COVID-19 Website: https://www.osha.gov/SLTC/covid-19/
   d) CDC Frequently Asked Questions about Personal Protective Equipment COVID-19:
      https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirator-use-faq.html
   e) NC FRAGO 121.024 Attachment A: Interim Cleaning Recommendations for Facilities
      Housing Persons Under Quarantine for Coronavirus Disease 2019 (COVID-19),
      Updated February 29, 2020
   f) Department of Defense Guidance on the Use of Cloth Face Coverings, 5 April 2020

Enclosure:
   (1) Cleaning Areas Checklist

Purpose:
This standard operating procedure (SOP) provides recommended actions for the enhanced
cleaning and disinfection of rooms or areas in facilities where suspected or confirmed COVID-
19 persons have visited. It is aimed at limiting the survival of novel coronavirus in key
environments. These recommendations will be updated if additional information becomes
available.

These guidelines are focused on community, non-healthcare facilities (e.g., schools,
institutions of higher education, offices, daycare centers, businesses, community centers).
Reference (e) provides guidance on the cleaning and disinfection of rooms of persons under
quarantine as well as associated worker protection practices according to expected job tasks.

Personal Protective Equipment (PPE):
Cleaning staff should wear the following items for all cleaning/disinfecting tasks, which should
be compatible with the disinfectant product(s) being used:

              Disposable (latex/nitrile) gloves
              Cleaning gowns or coveralls
              Eye protection/Light goggles

As annotated in reference (f), the Centers for Disease Control and Prevention (CDC)
recommends wearing cloth face coverings in public settings where other social distancing
measures are difficult to maintain, especially in areas of significant community-based
transmission. Military personnel, DoD civilian employees, their family members, and DoD
contractors are strongly encouraged to follow CDC guidelines on the use of cloth face
coverings in public settings or where other social distancing measures are difficult to
maintain. When utilizing disinfectants, ALWAYS follow manufacture’s guidance for
respiratory protection.

Cleaning/Disinfection Materials
          Industrial soap and water in spray bottles for cleaning surfaces prior to
            disinfection
          Heavy Duty Paper Towels
          Large garbage bags with ties (for containment/disposal of used cleaning
            materials)
          Products listed on the following EPA-registered and approved list for effective
            disinfection of surfaces exposed to coronavirus should be used.
            https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-
            cov-2

Per Occupational Safety and Health Administration (OSHA) Hazard Communication
standards (29 CFR 1910.1200), training should be provided to all cleaning staff on site prior
to performing cleaning tasks. Training should include when to use PPE, what PPE is
necessary, how to properly don (put on), use, and doff (take off) PPE, and how to properly
dispose of PPE. Workers should also be trained/informed on the hazards of the cleaning
chemicals used in the workplace.

Procedure per CDC and BUMED references (a)-(b):

1. CLOSE off all areas used by the ill persons and wait as long as possible before beginning
   cleaning and disinfection to minimize potential for exposure to respiratory droplets (at
   least 24 hours; but recommend 4 days - max virus life on surfaces).

2. Open outside doors and windows to increase air circulation the area (all rooms, where
   possible) for at least 24 hours.

3. Cleaning staff should wear disposable gloves and gowns for all tasks in the cleaning
   process, including handling trash.

4. CLEAN surfaces first.

          If surfaces are dirty, Clean using a detergent or soap and water (and paper
           towels/sponges) prior to disinfection.

5. DISINFECT cleaned surfaces.

          For disinfection, diluted household bleach solutions, alcohol solutions with at least
           70% alcohol, and most common EPA-registered household disinfectants should be
           effective.
          Diluted household bleach solutions can be used if appropriate for the surface.
           Follow manufacturer’s instructions for application and proper ventilation. Check to
           ensure the product is not past its expiration date. Never mix household bleach with
ammonia or any other cleanser. Unexpired household bleach will be effective
           against coronaviruses when properly diluted.

          Prepare a bleach solution by mixing:

                    5 tablespoons (1/3rd cup) bleach per gallon of water or
                    4 teaspoons bleach per quart of water
          Products with EPA-approved emerging viral pathogens claims are expected to
           be effective against COVID-19 based on data for harder to kill viruses. Follow the
           manufacturer’s instructions for all cleaning and disinfection products (e.g.,
           concentration, application method and contact time, etc.). Ensure adequate
           contact time for effective disinfection (1-3 minutes, or as directed.)
          For soft (porous) surfaces such as carpeted floor, rugs, and drapes, remove visible
           contamination if present and clean with appropriate cleaners indicated for use on
           these surfaces. After cleaning: If the items can be laundered, launder in
           accordance with the manufacturer’s instructions using the warmest appropriate
           water setting for the items and then dry items completely. Otherwise, use products
           with the EPA-approved emerging viral pathogens claims that are suitable for
           porous surfaces.
          Adhere to any safety precautions or other label recommendations as directed (e.g.,
           allowing adequate ventilation in confined areas, proper disposal of unused product
           or used containers and donning appropriate PPE).

6. Avoid using product application methods that cause splashing or generate aerosols.

7. Cleaning/disinfecting activities should be supervised and inspected periodically to ensure
   correct procedures are followed.

8. Cleaning staff should immediately report breaches in PPE (e.g., tear in gloves) or any
   potential exposures to their supervisor.

9. Clean and disinfect all frequently touched surfaces in affected areas (e.g., counters,
   tabletops, doorknobs, light switches, bathroom fixtures, toilets, phones, keyboards,
   tablets, remotes and bedside tables) according to instructions described for products with
   EPA-approved emerging viral pathogens claims.

10. Remove gloves and gowns carefully to avoid contamination of the wearer and the
    surrounding area. Gloves should be removed after cleaning a room or area occupied by
    ill persons. New gloves and gowns should be used for each day of cleaning/disinfecting.

11. Clean goggles with soap and water at the end of each day of cleaning/disinfecting.

12. It is recommended to close off areas used by the ill persons and wait as long as practical
    before beginning cleaning and disinfection to minimize potential for exposure to
    respiratory droplets. Open outside doors and windows to increase air circulation in the
    area. If possible, wait up to 24 hours before beginning cleaning and disinfection.
13. When cleaning is completed, Collect soiled materials and PPE in a sturdy, leak-proof
    (e.g., plastic) bag that is tied shut and not reopened. This waste can go to the regular
    solid waste stream (e.g., municipal trash) as it is not biohazardous or regulated medical
    waste.

14. After cleaning, removal, and disposal of PPE, immediately Perform hand hygiene. Soap
    and water should be used if the hands are visibly soiled.

             Cleaning staff should clean hands often, by washing hands with soap and
              water for 20 seconds. If soap and water are not available and hands are not
              visibly dirty, an alcohol-based hand sanitizer that contains 60%-95% alcohol
              may be used. However, if hands are visibly dirty, always wash hands with soap
              and water.

15. Per ref (a), if it has been more than 7 days since the person with suspected/confirmed
    COVID-19 visited or used the facility, additional cleaning and disinfection is not
    necessary.

Notes:
             No additional cleaning is needed for supply and return ventilation registers or
              filtration systems for the building.
             No additional treatment of wastewater is needed before discharging to sanitary
              sewer.
Enclosure (1)
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